ANCC MED-SURG CERTIFICATION WITH
COMPLETE QUESTIONS AND ANSWERS GRADED
A+ 2025/2026
d .- .CORRECT .ANSWER-A .nurse .is .reviewing .the .medical .record .of .a .client .who .is .receiving
.heparin .therapy .for .treatment .of .DVT. .Which .of .the .following .interventions .should .the
.nurse .anticipate .taking .if .the .client's .aPTT .is .96 .seconds?a. .Increase .the .heparin .infusion
.flow .rate .by .2 .mL/hrb. .continue .to .monitor .the .heparin .infusion .as .prescribedc. .request
.a .prothrombin .timed. .stop .the .heparin .infusion
a .- .CORRECT .ANSWER-A .nurse .is .providing .teaching .for .a .client .who .is .2 .days .post-op
.following .a .heart .transplant. .Which .of .the .following .statements .should .the .nurse .include
.in .the .teaching?a. ."you .may .no .longer .be .able .to .feel .chest .pain."b. ."your .level .of
.activity .tolerance .will .not .change."c. ."after .6 .months, .you .will .no .longer .need .to .restrict
.your .sodium .intake."d. ."you .will .be .able .to .stop .taking .immunosuppressants .after .12
.months."
a .- .CORRECT .ANSWER-A .nurse .is .assess .a .client .in .the .emergency .room .who .has .a
.bradydysrhythmia. .Which .of .the .following .findings .should .the .nurse .expect?A.
.confusionB. .friction .rubC. .hypertensionD. .dry .skin
d .- .CORRECT .ANSWER-A .nurse .in .the .emergency .department .is .caring .for .a .client .who
.had .an .anterior .MI. .The .client's .history .reveals .she .is .1 .week .post-op .open
.cholecystectomy. .The .nurse .should .recognize .that .which .of .the .following .interventions .is
.contraindicated?A. .administering .IV .morphine .sulfateB. .administering .oxygen .at .2 .:/min
.via .nasal .cannulaC. .helping .the .client .to .the .bedside .commodeD. .assisting .with
.thrombolytic .therapy
,D .- .CORRECT .ANSWER-A .nurse .is .caring .for .a .client .who .has .endocarditis. .Which .of .the
.following .findings .should .the .nurse .recognize .as .a .potential .complication?A. .ventricular
.depolarizationB. .Guillain-Barre .syndromC. .myelodysplastic .syndromeD. .Valvular .disease
C .- .CORRECT .ANSWER-A .nurse .is .caring .for .a .client .who .presents .to .the .ER .with .a .BP .of
.254/138 .mmHg. .The .nurse .recognizes .that .the .client .is .in .a .hypertensive .crisis. .Which .of
.the .following .actions .should .the .nurse .take .first?A. .obtain .blood .samples .for .laboratory
.testingB. .Tell .the .client .to .report .vision .changesC. .Place .the .head .of .the .bed .at .45
.degreesD. .initiate .an .IV
a .- .CORRECT .ANSWER-a .nurse .is .caring .for .a .client .who .has .HF .and .is .experiencing .AF.
.The .nurse .should .plan .to .monitor .for .and .report .which .of .the .following .findings .to .the
.provider .immediately?a. .slurred .speechb. .irregular .pulsec. .dependent .edemad. .persistent
.fatigue
b .- .CORRECT .ANSWER-A .nurse .is .assessing .a .client .who .has .left-sided .HF. .Which .of .the
.following .manifestations .should .the .nurse .expect .to .find?a. .inc .abdominal .girthb. .weak
.peripheral .pulsesc. .jugular .vein .distentiond. .dependent .edema
b .- .CORRECT .ANSWER-a .nurse .is .caring .for .a .client .who .is .being .treated .for .HF .and .has
.prescriptions .for .digoxin .and .furosemide. .The .nurse .should .plan .to .monitor .for .which .of
.the .following .as .an .adverse .effect .of .these .medications?a. .SOBb. .lightheadednessc. .dry
.coughd. .metallic .taste
c .- .CORRECT .ANSWER-a .nurse .is .monitoring .a .client .following .coronary .artery .bypass .graft
.surgery. .Which .of .the .following .findings .can .indicate .cardiac .tamponade?a. .sternal
.instabilityb. .inc .WBC .countc. .BP .140/82 .mmHg .on .inspiration .and .154/90 .mmHg .on
.expirationd. .sinus .rhythm .with .occasional .premature .atrial .contraction .and .HR .88/min
d .- .CORRECT .ANSWER-A .nurse .is .preparing .a .client .for .coroncary .angiography. .The .nurse
.should .report .which .of .the .following .findings .to .the .provider .prior .to .the .procedure?a.
.hemoglobin .14.4 .g/dLb. .history .of .peripheral .arterial .diseasec. .urine .output .200 .mL/4
.hrd. .previous .allergic .reaction .to .shellfish
,a .- .CORRECT .ANSWER-A .nurse .is .caring .for .a .client .following .insertion .of .a .permanent
.pacemaker. .Which .of .the .following .client .statements .indicates .a .potential .complication .of
.the .insertion .procedure?a. ."I .can't .get .rid .of .these .hiccups."b. ."I .feel .dizzy .when .i
.stand."c. ."My .incision .site .stings."d. ."I .have .a .headache."
b .- .CORRECT .ANSWER-A .nurse .is .providing .discharge .teaching .for .a .client .who .has .a
.prescription .for .the .transdermal .nitroglycerin .patch. .Which .of .the .following .instructions
.should .the .nurse .include .in .the .teaching?a. .apply .the .new .patch .to .the .same .site .as .the
.previous .patchb. .place .the .patch .on .an .area .of .skin .away .from .skin .folds .and .jointsc.
.keep .the .patch .on .24 .hr .per .dayd. .replace .the .patch .at .the .onset .of .angina
c .- .CORRECT .ANSWER-A .nurse .is .caring .for .a .client .in .the .first .hour .following .an .aortic
.aneurysm .repair. .Which .of .the .following .findings .can .indicate .shock .and .should .be
.reported .to .the .provider?a. .serosanguinous .drainage .on .dressingb. .severe .pain .with
.coughingc. .urine .output .of .20 .mL/hrd. .increase .in .temp .from .36.C .(98.2F)- .37.5C .(99.5F)
d .- .CORRECT .ANSWER-A .nurse .caring .for .a .client .following .an .abdominal .aortic .aneurysm
.resection. .Which .of .the .following .is .the .priority .assessment .for .this .client?a. .neck .vein
.distentionb. .bowel .soundsc. .peripheral .edemad. .urine .output
b .- .CORRECT .ANSWER-A .nurse .is .watching .a .client's .ECG .monitor .and .notes .that .the
.client's .rhythm .has .changed .from .a .normal .sinus .rhythm .to .supraventricular .tachycardia.
.The .client .is .conscious .with .a .HR .of .200-210 .bpm .and .has .a .faint .radial .pulse. .The .nurse
.should .anticipate .assisting .with .which .of .the .following .interventions?a. .delivery .of
.precordial .thumpb. .vagal .stimulationc. .administration .of .atropine .IVd. .defibrillation
a .- .CORRECT .ANSWER-A .nurse .is .providing .discharge .teaching .for .a .client .who .has .HF.
.The .nurse .should .instruct .the .client .to .report .which .of .the .following .findings .immediately
.to .the .provider?a. .weight .gain .of .2 .lb .in .24 .hrb. .inc .of .10 .mmHg .in .systolic .BPc. .dyspnea
.with .exertiond. .dizziness .when .rising .quickly
c .- .CORRECT .ANSWER-A .nurse .is .admitting .a .client .who .has .a .leg .ulcer .and .a .history .of
.DM. .The .nurse .should .use .which .of .the .following .focused .assessments .to .help
.differentiate .between .an .arterial .ulcer .and .a .venous .stasis .ulcer?a. .explore .the .clients
.family .history .of .peripheral .vascular .diseaseb. .note .the .presence .or .absence .of .pain .at
, .the .ulcer .sitec. .inquire .about .the .presence .or .absence .of .claudicationd. .ask .if .the .client
.has .had .a .recent .infection
c .- .CORRECT .ANSWER-A .nurse .is .reviewing .the .laboratory .results .of .several .clients .who
.have .peripheral .arterial .disease. .The .nurse .should .plan .to .provide .dietary .teaching .for
.the .client .who .has .which .laboratory .values?a. .Cholesterol .180 .mg/dL, .HDL .70 .mg/dL, .LDL
.90 .mg/dLb. .Cholesterol .185 .mg/dL, .HDL .50 .mg/dL, .LDL .120 .mg/dLc. .Cholesterol .190
.mg/dL, .HDL .25 .mg/dL, .LDL .160 .mg/dLd. .Cholesterol .195 .mg/dL, .HDL .55 .mg/dL, .LDL .125
.mg/dL
b .- .CORRECT .ANSWER-a .nurse .is .providing .health .teaching .for .a .group .of .clients. .Which
.of .the .following .clients .is .at .risk .for .developing .peripheral .arterial .disease?a. .a .client .who
.has .hypothyroidismb. .a .client .who .has .DMc. .a .client .whose .daily .caloric .intake .consists .of
.25% .fatd. .a .client .who .consumes .two .bottles .of .beer .a .day
a, .b, .e .- .CORRECT .ANSWER-a .nurse .is .planning .a .presentation .about .hypertension .for .a
.community .women's .group. .which .of .the .following .lifestyle .modifications .should .the
.nurse .include .(select .all .that .apply)a. .limited .alcohol .intakeb. .regular .exercise .programc.
.dec .Mg .intaked. .reduced .K .intakee. .smoking .cessation
b .- .CORRECT .ANSWER-A .nurse .is .caring .for .a .client .in .the .first .8 .hr .following .coronary
.artery .bypass .graft .surgery. .Which .of .the .following .client .findings .should .the .nurse .report
.to .the .provider?a. .mediastinal .drainage .100 .mL/hrb. .BP .160/80 .mmHgc. .Temp .37.1
.(98.8)d. .K .3.8 .mEq/L
d .- .CORRECT .ANSWER-A .nurse .is .caring .for .a .client .who .has .a .history .of .angina .and .is
.schedules .for .a .stress .test .at .1100. .Which .of .the .following .statements .by .the .client
.requires .the .nurse .to .contact .the .provider .for .possible .rescheduling?a. ."I'm .still .hungry
.after .the .bowl .of .cereal .I .ate .at .7am."b. ."I .didn't .take .my .heart .pills .this .morning
.because .the .doctor .told .me .not .to."c. ."I .have .had .chest .pain .a .couple .of .times .since .I
.saw .my .doctor .in .the .office .last .week."d. ."I .smoked .a .cigarette .this .morning .to .calm .my
.nerves .about .having .this .procedure."
a .- .CORRECT .ANSWER-A .nurse .is .caring .for .a .client .who .has .dilated .cardiomyopathy. .The
.client .reports .increasing .difficulty .completing .her .daily .1-mile .walks. .The .nurse .should
COMPLETE QUESTIONS AND ANSWERS GRADED
A+ 2025/2026
d .- .CORRECT .ANSWER-A .nurse .is .reviewing .the .medical .record .of .a .client .who .is .receiving
.heparin .therapy .for .treatment .of .DVT. .Which .of .the .following .interventions .should .the
.nurse .anticipate .taking .if .the .client's .aPTT .is .96 .seconds?a. .Increase .the .heparin .infusion
.flow .rate .by .2 .mL/hrb. .continue .to .monitor .the .heparin .infusion .as .prescribedc. .request
.a .prothrombin .timed. .stop .the .heparin .infusion
a .- .CORRECT .ANSWER-A .nurse .is .providing .teaching .for .a .client .who .is .2 .days .post-op
.following .a .heart .transplant. .Which .of .the .following .statements .should .the .nurse .include
.in .the .teaching?a. ."you .may .no .longer .be .able .to .feel .chest .pain."b. ."your .level .of
.activity .tolerance .will .not .change."c. ."after .6 .months, .you .will .no .longer .need .to .restrict
.your .sodium .intake."d. ."you .will .be .able .to .stop .taking .immunosuppressants .after .12
.months."
a .- .CORRECT .ANSWER-A .nurse .is .assess .a .client .in .the .emergency .room .who .has .a
.bradydysrhythmia. .Which .of .the .following .findings .should .the .nurse .expect?A.
.confusionB. .friction .rubC. .hypertensionD. .dry .skin
d .- .CORRECT .ANSWER-A .nurse .in .the .emergency .department .is .caring .for .a .client .who
.had .an .anterior .MI. .The .client's .history .reveals .she .is .1 .week .post-op .open
.cholecystectomy. .The .nurse .should .recognize .that .which .of .the .following .interventions .is
.contraindicated?A. .administering .IV .morphine .sulfateB. .administering .oxygen .at .2 .:/min
.via .nasal .cannulaC. .helping .the .client .to .the .bedside .commodeD. .assisting .with
.thrombolytic .therapy
,D .- .CORRECT .ANSWER-A .nurse .is .caring .for .a .client .who .has .endocarditis. .Which .of .the
.following .findings .should .the .nurse .recognize .as .a .potential .complication?A. .ventricular
.depolarizationB. .Guillain-Barre .syndromC. .myelodysplastic .syndromeD. .Valvular .disease
C .- .CORRECT .ANSWER-A .nurse .is .caring .for .a .client .who .presents .to .the .ER .with .a .BP .of
.254/138 .mmHg. .The .nurse .recognizes .that .the .client .is .in .a .hypertensive .crisis. .Which .of
.the .following .actions .should .the .nurse .take .first?A. .obtain .blood .samples .for .laboratory
.testingB. .Tell .the .client .to .report .vision .changesC. .Place .the .head .of .the .bed .at .45
.degreesD. .initiate .an .IV
a .- .CORRECT .ANSWER-a .nurse .is .caring .for .a .client .who .has .HF .and .is .experiencing .AF.
.The .nurse .should .plan .to .monitor .for .and .report .which .of .the .following .findings .to .the
.provider .immediately?a. .slurred .speechb. .irregular .pulsec. .dependent .edemad. .persistent
.fatigue
b .- .CORRECT .ANSWER-A .nurse .is .assessing .a .client .who .has .left-sided .HF. .Which .of .the
.following .manifestations .should .the .nurse .expect .to .find?a. .inc .abdominal .girthb. .weak
.peripheral .pulsesc. .jugular .vein .distentiond. .dependent .edema
b .- .CORRECT .ANSWER-a .nurse .is .caring .for .a .client .who .is .being .treated .for .HF .and .has
.prescriptions .for .digoxin .and .furosemide. .The .nurse .should .plan .to .monitor .for .which .of
.the .following .as .an .adverse .effect .of .these .medications?a. .SOBb. .lightheadednessc. .dry
.coughd. .metallic .taste
c .- .CORRECT .ANSWER-a .nurse .is .monitoring .a .client .following .coronary .artery .bypass .graft
.surgery. .Which .of .the .following .findings .can .indicate .cardiac .tamponade?a. .sternal
.instabilityb. .inc .WBC .countc. .BP .140/82 .mmHg .on .inspiration .and .154/90 .mmHg .on
.expirationd. .sinus .rhythm .with .occasional .premature .atrial .contraction .and .HR .88/min
d .- .CORRECT .ANSWER-A .nurse .is .preparing .a .client .for .coroncary .angiography. .The .nurse
.should .report .which .of .the .following .findings .to .the .provider .prior .to .the .procedure?a.
.hemoglobin .14.4 .g/dLb. .history .of .peripheral .arterial .diseasec. .urine .output .200 .mL/4
.hrd. .previous .allergic .reaction .to .shellfish
,a .- .CORRECT .ANSWER-A .nurse .is .caring .for .a .client .following .insertion .of .a .permanent
.pacemaker. .Which .of .the .following .client .statements .indicates .a .potential .complication .of
.the .insertion .procedure?a. ."I .can't .get .rid .of .these .hiccups."b. ."I .feel .dizzy .when .i
.stand."c. ."My .incision .site .stings."d. ."I .have .a .headache."
b .- .CORRECT .ANSWER-A .nurse .is .providing .discharge .teaching .for .a .client .who .has .a
.prescription .for .the .transdermal .nitroglycerin .patch. .Which .of .the .following .instructions
.should .the .nurse .include .in .the .teaching?a. .apply .the .new .patch .to .the .same .site .as .the
.previous .patchb. .place .the .patch .on .an .area .of .skin .away .from .skin .folds .and .jointsc.
.keep .the .patch .on .24 .hr .per .dayd. .replace .the .patch .at .the .onset .of .angina
c .- .CORRECT .ANSWER-A .nurse .is .caring .for .a .client .in .the .first .hour .following .an .aortic
.aneurysm .repair. .Which .of .the .following .findings .can .indicate .shock .and .should .be
.reported .to .the .provider?a. .serosanguinous .drainage .on .dressingb. .severe .pain .with
.coughingc. .urine .output .of .20 .mL/hrd. .increase .in .temp .from .36.C .(98.2F)- .37.5C .(99.5F)
d .- .CORRECT .ANSWER-A .nurse .caring .for .a .client .following .an .abdominal .aortic .aneurysm
.resection. .Which .of .the .following .is .the .priority .assessment .for .this .client?a. .neck .vein
.distentionb. .bowel .soundsc. .peripheral .edemad. .urine .output
b .- .CORRECT .ANSWER-A .nurse .is .watching .a .client's .ECG .monitor .and .notes .that .the
.client's .rhythm .has .changed .from .a .normal .sinus .rhythm .to .supraventricular .tachycardia.
.The .client .is .conscious .with .a .HR .of .200-210 .bpm .and .has .a .faint .radial .pulse. .The .nurse
.should .anticipate .assisting .with .which .of .the .following .interventions?a. .delivery .of
.precordial .thumpb. .vagal .stimulationc. .administration .of .atropine .IVd. .defibrillation
a .- .CORRECT .ANSWER-A .nurse .is .providing .discharge .teaching .for .a .client .who .has .HF.
.The .nurse .should .instruct .the .client .to .report .which .of .the .following .findings .immediately
.to .the .provider?a. .weight .gain .of .2 .lb .in .24 .hrb. .inc .of .10 .mmHg .in .systolic .BPc. .dyspnea
.with .exertiond. .dizziness .when .rising .quickly
c .- .CORRECT .ANSWER-A .nurse .is .admitting .a .client .who .has .a .leg .ulcer .and .a .history .of
.DM. .The .nurse .should .use .which .of .the .following .focused .assessments .to .help
.differentiate .between .an .arterial .ulcer .and .a .venous .stasis .ulcer?a. .explore .the .clients
.family .history .of .peripheral .vascular .diseaseb. .note .the .presence .or .absence .of .pain .at
, .the .ulcer .sitec. .inquire .about .the .presence .or .absence .of .claudicationd. .ask .if .the .client
.has .had .a .recent .infection
c .- .CORRECT .ANSWER-A .nurse .is .reviewing .the .laboratory .results .of .several .clients .who
.have .peripheral .arterial .disease. .The .nurse .should .plan .to .provide .dietary .teaching .for
.the .client .who .has .which .laboratory .values?a. .Cholesterol .180 .mg/dL, .HDL .70 .mg/dL, .LDL
.90 .mg/dLb. .Cholesterol .185 .mg/dL, .HDL .50 .mg/dL, .LDL .120 .mg/dLc. .Cholesterol .190
.mg/dL, .HDL .25 .mg/dL, .LDL .160 .mg/dLd. .Cholesterol .195 .mg/dL, .HDL .55 .mg/dL, .LDL .125
.mg/dL
b .- .CORRECT .ANSWER-a .nurse .is .providing .health .teaching .for .a .group .of .clients. .Which
.of .the .following .clients .is .at .risk .for .developing .peripheral .arterial .disease?a. .a .client .who
.has .hypothyroidismb. .a .client .who .has .DMc. .a .client .whose .daily .caloric .intake .consists .of
.25% .fatd. .a .client .who .consumes .two .bottles .of .beer .a .day
a, .b, .e .- .CORRECT .ANSWER-a .nurse .is .planning .a .presentation .about .hypertension .for .a
.community .women's .group. .which .of .the .following .lifestyle .modifications .should .the
.nurse .include .(select .all .that .apply)a. .limited .alcohol .intakeb. .regular .exercise .programc.
.dec .Mg .intaked. .reduced .K .intakee. .smoking .cessation
b .- .CORRECT .ANSWER-A .nurse .is .caring .for .a .client .in .the .first .8 .hr .following .coronary
.artery .bypass .graft .surgery. .Which .of .the .following .client .findings .should .the .nurse .report
.to .the .provider?a. .mediastinal .drainage .100 .mL/hrb. .BP .160/80 .mmHgc. .Temp .37.1
.(98.8)d. .K .3.8 .mEq/L
d .- .CORRECT .ANSWER-A .nurse .is .caring .for .a .client .who .has .a .history .of .angina .and .is
.schedules .for .a .stress .test .at .1100. .Which .of .the .following .statements .by .the .client
.requires .the .nurse .to .contact .the .provider .for .possible .rescheduling?a. ."I'm .still .hungry
.after .the .bowl .of .cereal .I .ate .at .7am."b. ."I .didn't .take .my .heart .pills .this .morning
.because .the .doctor .told .me .not .to."c. ."I .have .had .chest .pain .a .couple .of .times .since .I
.saw .my .doctor .in .the .office .last .week."d. ."I .smoked .a .cigarette .this .morning .to .calm .my
.nerves .about .having .this .procedure."
a .- .CORRECT .ANSWER-A .nurse .is .caring .for .a .client .who .has .dilated .cardiomyopathy. .The
.client .reports .increasing .difficulty .completing .her .daily .1-mile .walks. .The .nurse .should
